Provider Demographics
NPI:1497739460
Name:RITTENHOUSE, ELIZABETH MARGARET
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MARGARET
Last Name:RITTENHOUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12610 135TH ST E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-4668
Mailing Address - Country:US
Mailing Address - Phone:253-435-1670
Mailing Address - Fax:
Practice Address - Street 1:3902 A ST SE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-8610
Practice Address - Country:US
Practice Address - Phone:253-939-8563
Practice Address - Fax:253-939-0869
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVA00040361183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician